Provider First Line Business Practice Location Address:
30 7TH ST. ST. JOES PLAZA
Provider Second Line Business Practice Location Address:
SWMCCC COMMUNITY TREATMENT HALLWAY
Provider Business Practice Location Address City Name:
DICKINSON
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
14-830-1017
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2024